Organization Active NPI

Dallas Cardiovascular Surgical Association

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Plano, TX
National Provider Identifier
1891963328
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G4907 Issued in TX
Legal business name
DALLAS CARDIOVASCULAR SURGICAL ASSOCIATION
Practice address
6130 W Parker Rd Ste 103
Plano, TX 75093-7910
Phone
(214) 361-2300
Fax
(214) 361-2316
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric G Chang-Tung, MDNPI 1891748588
Title
Principle
Phone
(214) 361-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G4907 TX Primary

Addresses

Primary practice location

6130 W Parker Rd Ste 103
Plano, TX 75093-7910

Mailing address

11808 Forest Lakes LN
Dallas, TX 75230-2858
Phone (214) 361-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120117000553 TX Part B Supplier - Clinic/Group Practice 3476720343 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

6200 W Parker Rd
Ste 103
Plano, TX 75093
Phone (972) 403-3100

6130 W Parker Rd
Ste 103
Plano, TX 75093
Phone (214) 361-2300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1891963328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11808 FOREST LAKES LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302858",
            "telephone_number": "214-361-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 W PARKER RD STE 103",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937910",
            "telephone_number": "214-361-2300",
            "fax_number": "214-361-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS CARDIOVASCULAR SURGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANG-TUNG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "214-361-2300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "G4907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.